Thakkar v. Honeywell International Incorporated Short-Term Disability Plan et al

Filing 53

ORDER - IT THEREFORE IS ORDERED granting Defendant Life Insurance Company of North America's Motion to Dismiss (Doc. 27 ). Count Two, for Tortious Interference with Contract against Life Insurance Company of North America, is dismissed with leave to amend the Complaint. Count Three, for Tortious Breach of the Duty of Good Faith and Fair Dealing, is dismissed with prejudice against all Defendants. IT IS FURTHER ORDERED granting in part and denying in part Plaintiff's Cross-Moti on to Amend (Doc. 31 ). Plaintiff may not amend the Complaint to add a claim for Aiding and Abetting Bad Faith, but Plaintiff may amend the Complaint to add a prayer for punitive damages for any amended claim of Tortious Interference with Contract against Life Insurance Company of North America, if Plaintiff can sufficiently allege facts supporting a plausible inference of the requisite state of mind. IT IS FURTHER ORDERED that Plaintiff shall file any Amended Complaint by December 2, 2016. The Amended Complaint must incorporate all of the parties' stipulations and the Court's rulings to date. IT IS FURTHER ORDERED that, in response to Plaintiff's Requests for Production, Defendant Honeywell shall search for and produce d ocuments in its possession discussing targeted rates of claim acceptance or denial for short term disability claims during the period January 1, 2014 through July 31, 2016 that were shared between Honeywell and LINA, or that reflect communications between Honeywell and LINA on this topic. Honeywell is not required to respond to Requests for Production Numbers 1 and 3. (See document for further details). Signed by Judge John J Tuchi on 11/21/16. (LAD)

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1 WO NOT FOR PUBLICATION 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8 9 Shivani Thakkar, Plaintiff, 10 11 ORDER v. 12 No. CV-16-01446-PHX-JJT Honeywell International Incorporated Short-Term Disability Plan, et al., 13 14 Defendants. 15 16 At issue is Defendant Life Insurance Company of North America’s (“LINA”) 17 Motion to Dismiss (Doc. 27, MTD), which Defendant Honeywell International Inc. 18 joined (Doc. 28). Plaintiff Shivani Thakkar file a Response and Cross-Motion to Amend 19 (Doc. 31, MTA). LINA filed a Response to Plaintiff’s Cross-Motion and Reply to its own 20 Motion (Doc. 34, LINA’s Reply), which Honeywell again joined (Doc. 35). Plaintiff then 21 filed a Reply to its Cross-Motion (Doc. 36, Pl.’s Reply). Also at issue is the Joint 22 Statement of Discovery Dispute (Doc. 41), in which Honeywell and Plaintiff detail a 23 discovery dispute between them. The Court held a hearing on all of these matters on 24 November 15, 2016 (Doc. 52). Based on the parties’ briefs and discussions with the 25 Court at the hearing, and for the reasons that follow, the Court will grant LINA’s Motion 26 to Dismiss but allow Plaintiff to amend Count Two, and grant in part and deny in part 27 Plaintiff’s Motion to Amend. 28 1 I. Motion to Dismiss 2 LINA1 moves to dismiss the two Counts against it—Count Two, for Tortious 3 Interference with Contract, and Count Three, for Tortious Breach of the Duty of Good 4 Faith and Fair Dealing—under Federal Rule of Civil Procedure 12(b)(6). (MTD at 1.) 5 Because LINA already filed an Answer (Doc. 7) and Amended Answer (Doc. 21) to 6 Plaintiff’s Complaint (Doc. 1, Compl.), the Court construes its Motion to Dismiss for 7 failure to state a claim under Rule 12(b)(6) as one filed under Rule 12(c) for judgment on 8 the pleadings. 9 A Rule 12(c) motion is functionally identical to a Rule 12(b) motion to dismiss for 10 failure to state a claim, and the same legal standard applies to both motions. Dworkin v. 11 Hustler Magazine, Inc., 867 F.2d 1188, 1192 (9th Cir. 1989). Specifically, a complaint 12 must include “only ‘a short and plain statement of the claim showing that the pleader is 13 entitled to relief,’ in order to ‘give the defendant fair notice of what the . . . claim is and 14 the grounds upon which it rests.’” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) 15 (quoting Conley v. Gibson, 355 U.S. 41, 47 (1957)); see also Fed. R. Civ. P. 8(a). A 16 dismissal for failure to state a claim can be based on either (1) the lack of a cognizable 17 legal theory or (2) insufficient facts to support a cognizable legal claim. Balistreri v. 18 Pacifica Police Dep’t, 901 F.2d 696, 699 (9th Cir. 1990). “While a complaint attacked by a 19 Rule 12(b)(6) motion does not need detailed factual allegations, a plaintiff’s obligation to 20 provide the ‘grounds’ of his ‘entitle[ment] to relief’ requires more than labels and 21 conclusions, and a formulaic recitation of the elements of a cause of action will not do.” 22 Twombly, 550 U.S. at 555 (citations omitted). The complaint must thus contain “sufficient 23 factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” 24 Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Twombly, 550 U.S. at 570). 25 A. 26 Arizona case law provides that a tortious interference with contract claim may not Tortious Interference with Contract (Count Two) 27 1 28 Although Plaintiff also named Cigna as a Defendant in this matter, LINA explained at the hearing that Cigna is not a separate entity but rather a trade name for LINA. -2- 1 be brought against an agent of the third party who entered into the underlying contract 2 with the plaintiff. Pasco Indus., Inc. v. Talco Recycling, Inc., 985 P.2d 535, 547 (Ariz. Ct. 3 App. 1998). Even when presuming Plaintiff entered into a contract with Honeywell, 4 LINA argues that Plaintiff’s claim of tortious interference with the contract by LINA 5 must fail because LINA, as administrator of the Honeywell’s Short Term Disability 6 payroll practice, was Honeywell’s agent. (MTD at 3-4.) In response, Plaintiff proposes to 7 amend the Complaint to add an allegation that LINA administered Plaintiff’s claim “to 8 serve its own interests and for its own benefit, including but not limited to minimize or 9 eliminate potentially expensive liability for [Long Term Disability] benefits LINA fully 10 insures.” (Doc. 31-4, Proposed Am. Compl. ¶ 64.) Defendant rejoins that nowhere in the 11 Complaint does Plaintiff allege that LINA provided her with Long Term Disability 12 benefits—because it did not—and Plaintiff’s allegation is otherwise conclusory and thus 13 insufficient to support a tortious interference with contract claim. (LINA’s Reply at 9- 14 10.) The Court agrees. Plaintiff fails to allege sufficient facts to plausibly state a tortious 15 interference with contract claim against LINA, which according to Plaintiff’s allegations 16 was an agent of Honeywell for the purpose of the underlying contract. However, because 17 Plaintiff may be able to cure this defect in the Complaint, the Court will give Plaintiff 18 leave to amend the Complaint with regard to Count Two. See Lopez v. Smith, 203 F.3d 19 1122, 1130 (9th Cir. 2000). 20 B. 21 Both LINA and Honeywell, by joining LINA’s Motion, ask the Court to dismiss 22 Count Three against them because, as Plaintiff concedes, the Short Term Disability 23 coverage Plaintiff receives from Honeywell is a payroll practice, not an insurance 24 contract, and a bad faith claim against an employer or its third-party administrator is not 25 recognized by Arizona law outside the context of an insurance contract. (MTD at 4-5.) In 26 response, Plaintiff contends that the allegations in the Complaint support a plausible 27 inference that she has a “special relationship” with Honeywell and LINA under Rawlings 28 v. Apodaca, 726 P.2d 565, 569 (Ariz. 1986), because she seeks “service, security, peace Breach of the Duty of Good Faith and Fair Dealing (Count Three) -3- 1 of mind [or] protection” by way of Honeywell’s payment for short term disability. (MTA 2 at 7-9.) In such an instance, Plaintiff argues, Arizona law provides that she may bring a 3 tort action against her employer or its third-party administrator even in the absence of an 4 insurance contract. (MTA at 7-9.) 5 The Court agrees with the Ninth Circuit Court of Appeals decision addressing 6 similar facts in Allocco v. Metropolitan Life Insurance Co., 425 Fed. App’x 559, 561 (9th 7 Cir. 2011), even if that unpublished Memorandum Decision is not binding precedent and 8 was in the posture of a motion for summary judgment instead of a motion to dismiss. 9 Plaintiff does not cite a case in which a bad faith claim was actionable in Arizona against 10 an employer or third party administrator outside the insurance contract context, and the 11 Court declines to extend the “special relationship” doctrine to the circumstances Plaintiff 12 alleges in the Complaint. As Defendants point out, the object of the alleged contract 13 between Plaintiff and Honeywell is not short term disability coverage, but rather 14 employment. Because Plaintiff cannot bring a bad faith claim against Honeywell, she also 15 cannot state a claim against LINA by way of joint venture allegations, nor can she state a 16 claim of aiding and abetting bad faith. As a result, the Court will grant Defendants’ 17 Motion to Dismiss Count Three against them. Because the defect in Plaintiff’s claim 18 cannot be cured by amendment, the Court will dismiss the claim with prejudice. See 19 Lopez, 203 F.3d at 1130. 20 II. Motion to Amend 21 As the Court already noted, Plaintiff cannot state a claim against LINA for aiding 22 and abetting bad faith, so amending the Complaint to add such a claim would be futile. 23 See Serra v. Lappin, 600 F.3d 1191, 1200 (9th Cir. 2010). However, if Plaintiff is able to 24 allege sufficient facts to state a claim for tortious interference with contract by LINA, 25 Plaintiff may also add a claim for punitive damages if she can allege facts supporting a 26 plausible inference of the requisite state of mind. The Court will thus allow Plaintiff to 27 amend her Complaint, although under those circumstances only. 28 -4- 1 III. Discovery Dispute 2 At the hearing, the Court also heard argument on the parties’ disputes over 3 Honeywell’s obligations to provide any responses to the Requests for Production (RFPs) 4 Plaintiff served on August 19, 2016. (See Doc. 41.) Three RFPs are at issue: 1) a request 5 to produce all communications between Honeywell and LINA for a fixed period “relating 6 in any way to any and all market conduct investigations and/or regulatory settlement 7 agreements relating to LINA and/or LINA’s business practices;” 2) a request for all 8 documents relating to LINA’s approval or denial of disability insurance or payroll 9 practice claims, tracking of such approval or denial, and discussing or otherwise 10 addressing “rates or expectations relating to” those approval or denials rates; and 3) all 11 documents relating to complaints made to Honeywell by its employees “relating in any 12 way to LINA’s handling of employees’ disability insurance or payroll practice claims.” 13 Plaintiff’s first request, in its current formulation, is so broad as to render it 14 impossible for Honeywell to comply with. Although the general period set forth in 15 procedural paragraph C of Plaintiff’s first RFP to Honeywell reasonably bounds the time 16 horizon of the request, the repositories to be searched are insufficiently targeted to allow 17 Honeywell to comply without being unduly burdened. Plaintiff does not specify whether 18 the communications sought are between LINA and a specific organ or administrative unit 19 of Honeywell, or whether such communications are at any specified level—for example, 20 a line adjustor or benefits coordinator, supervisory, management, or the legal department, 21 which of course would raise its own discrete issues. Nor does Plaintiff focus the subject 22 matter of her request in a way that Honeywell can clearly determine whether a 23 communication is or is not responsive to it. Absent brighter delineation of these 24 parameters, Honeywell is faced with the prospect of having to search arguably every 25 repository of its electronic and paper records in every function and department for 26 communications about vaguely defined subject matter. That result would be both 27 extremely expensive and labor intensive, and still would leave Honeywell open to 28 accusation that it failed to comply with the request if it failed to perceive the bounds of -5- 1 relevant communications the same way Plaintiff does. Coupled with limited relevance to 2 the issues in this case, the above concerns lead the Court to conclude RFP Number 1 as 3 currently constructed is not justified under Federal Rule of Civil Procedure 26, as it is not 4 proportional to the needs of the case. The Court cannot formulate a way to tailor the 5 request that would provide the required specificity of targets within Honeywell and 6 subject matter of the communications for which Honeywell should search. The Court 7 therefore will not require Honeywell to respond RFP Number 1 in its current form. The 8 Court will allow Plaintiff to serve a more tailored request if that request can sufficiently 9 address the concerns set forth above. 10 For similar reasons, the Court will not require Honeywell to respond to RFP 11 Number 2 in its current formulation. Plaintiff does not persuade the Court of the 12 relevance of any of Honeywell’s tracking information regarding individual claims. The 13 Court therefore does not need to engage in a proportionality analysis of the request for 14 individual claim tracking information, but if it did, the Court would find the request 15 disproportionate to the needs of the case. Similarly, aggregate tracking or reporting of 16 acceptance or denial rates of claims is not relevant to the issues to be proved in this 17 matter. By itself, a claim acceptance rate of ten percent or ninety percent tells the reader 18 nothing about the cause or propriety of that rate. Communications about a targeted rate, a 19 desire, intent or plan to drive a rate in a given direction, might be relevant, and if found, 20 might then also make resultant rates themselves relevant. The Court therefore will require 21 Honeywell to search for and produce documents in its possession discussing targeted 22 rates of claim acceptance or denial for short term disability claims during the period 23 January 1, 2014 through July 31, 2016 which were shared between Honeywell and LINA, 24 or which reflect communications between Honeywell and LINA on this topic.2 The Court 25 will not require Honeywell to provide a response to the remainder of Request Number 2, 26 as it finds the remainder of the request unduly burdensome, disproportionate to the needs 27 2 28 The Court notes that both Defendants represented at the hearing on this matter that they had already searched for such materials and found none. That may be the result of this Order. But if such materials exist, Plaintiff is entitled to them. -6- 1 of the case, and dealing with material that at this point is not relevant to the claims at 2 issue. 3 Plaintiff has agreed to narrow its Request Number 3 to communications about 4 complaints “made to a single Honeywell employee responsible for receiving such 5 complaints.” (Doc. 41 at 1.) The Court still fails to see how other employees’ complaints 6 about LINA’s handling of their claims is relevant to this matter. If Honeywell were to 7 produce items responsive to Request Number 2 that showed a plan, intent or desire to 8 drive down STD claim acceptance rates, then looking at a sampling of individual 9 complaints over STD claim denials and how they were handled might be relevant. But 10 the parties are not there now. The Court will thus not require Honeywell to respond to 11 Request Number 3 as currently formulated. 12 IT THEREFORE IS ORDERED granting Defendant Life Insurance Company of 13 North America’s Motion to Dismiss (Doc. 27). Count Two, for Tortious Interference with 14 Contract against Life Insurance Company of North America, is dismissed with leave to 15 amend the Complaint. Count Three, for Tortious Breach of the Duty of Good Faith and 16 Fair Dealing, is dismissed with prejudice against all Defendants. 17 IT IS FURTHER ORDERED granting in part and denying in part Plaintiff’s 18 Cross-Motion to Amend (Doc. 31). Plaintiff may not amend the Complaint to add a claim 19 for Aiding and Abetting Bad Faith, but Plaintiff may amend the Complaint to add a 20 prayer for punitive damages for any amended claim of Tortious Interference with 21 Contract against Life Insurance Company of North America, if Plaintiff can sufficiently 22 allege facts supporting a plausible inference of the requisite state of mind. 23 IT IS FURTHER ORDERED that Plaintiff shall file any Amended Complaint by 24 December 2, 2016. The Amended Complaint must incorporate all of the parties’ 25 stipulations and the Court’s rulings to date. 26 IT IS FURTHER ORDERED that, in response to Plaintiff’s Requests for 27 Production, Defendant Honeywell shall search for and produce documents in its 28 possession discussing targeted rates of claim acceptance or denial for short term disability -7- 1 claims during the period January 1, 2014 through July 31, 2016 that were shared between 2 Honeywell and LINA, or that reflect communications between Honeywell and LINA on 3 this topic. Honeywell is not required to respond to Requests for Production Numbers 1 4 and 3. 5 Dated this 21st day of November, 2016. 6 7 Honorable John J. Tuchi United States District Judge 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -8-

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